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Name:________________________________________________Address:______________________________________________City/State/Zip: _________________________________________All Phone Numbers (including cell):____________________________________________________________________________________________________________________________________Email Address: _________________________________________List all undergraduate and graduate institutions attended. Include the name of the institution, the dates attended and your major.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Proposed Date of Entry: Fall ___ or Spring ___ (insert the correct year in the proper blank).Record of Employment. Include the name of the organization, your title/position, and employment dates.Attach a resume or vita._________________________________________________________________________________________________________________________________________________________References: (list three, with email and phone number) _________________________________________________________________________________________________________________________________________________________Essay:On separate sheets of paper write a one to two page essay (no more than 500 words) explaining why you would be a good graduate teaching assistant. You must include information concerning your relevant experience in teaching, assisting, training, or working in a leadership position. You should also explain what makes a good teacher and how you meeet those criteria.Note: your application is not complete without this essay.I attest that all the information contained in this application and its attachments is true and accurate. By signing this application I agree to abide by all policies and requirements of Auburn University, the Graduate School and the Department of Communication & Journalism._______________________________________Signature_______________________________________Print_______________________________________DateOnly completed applications will be plete the entire application and attach the required materials. Sign and date the application. Applicants may:scan the document and upload onto their application; scan the document and email it to the Graduate Program Officer, Dr. Robert R. Agne, agnerob@auburn.edu; or send the document through regular mail to:Dr. Robert R. Agne, Graduate Program OfficerDepartment of Communication and Journalism217 Tichenor HallAuburn University, AL, 36849-5211? ................
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